SAMUEL C SLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049237684

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

Last Name

SLACK

Business Name

SAMUEL C SLACK

Original Issue Date

11/16/2015

Effective Date

03/03/2016

Expiration Date

03/31/2017

City

CLINTON

State

Zip

84015

County

UTAH

Ever Disciplined

LastModifiedDate

05/10/2017